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ACCOUNT #
00 "100' cro/
ADDRESS
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OLD METER
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Ser. No. ft~)7()-yL
NEW METER
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'77rY70,'7//
Ser. No.
Digits
Readinp
Reg.No.
Size <;/f:j" ~/.., P 10
'. "1
1 v/rA J
Jh'1/I.-I, r) J
-,5'J?36CJ
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
Gro~nd Yes ~NO_
Comments: 0\0 d-vt'
''t Type
lead_ copper~on Pipe_
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Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
.
INSTALLATION ACCEPTAB'f'j NATfR
OCCUPANT'S SIGNATURE IV ~
DATE l1- '2,. 0~
From 90080 (4-93)
Copy 1 Customer